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| ==Muscles of the Forelimb== | | ==Muscles of the Forelimb== |
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| ===[[Forelimb - Anatomy & Physiology#Extrinsic Musculature|Extrinsic Musculature]]=== | | ===[[Forelimb - Anatomy & Physiology#Extrinsic Musculature|Extrinsic Musculature]]=== |
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− | These muscle are responsible for joining the forelimb to the trunk, forming a synsarcosis rather than a conventional joint. Collectively, they act to transfer the weight of the body to the forelimbs as well as stabilize the scapula. | + | These muscle are responsible for joining the forelimb to the trunk, forming a synsarcosis rather than a conventional joint. Collectively, they act to transfer the weight of the body to the forelimbs as well as stabilize the scapula. |
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| '''''Trapezius''''': Accessory n. | | '''''Trapezius''''': Accessory n. |
− | *Origin: mid-dorsal raphe and supraspinous ligament
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− | *Insertion: spine of the scapula
| + | Origin: mid-dorsal raphe and supraspinous ligament. |
− | *Body: two parts, cervical and thoracic separated by aponeurosis
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− | *Action: raises scapula against the trunk and swings cranially to advance the limb
| + | Insertion: spine of the scapula. |
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| + | Body: two parts, cervical and thoracic separated by aponeurosis. |
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| + | Action: raises scapula against the trunk and swings cranially to advance the limb. |
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| '''''Brachiocephalic m.''''': Accessory n. | | '''''Brachiocephalic m.''''': Accessory n. |
− | *Two parts separated by the clavicle
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− | *Origin: clavicle
| + | There are two parts separated by the clavicle. |
− | *Insertion: median raphe of the neck and the occipital bone. The ventral part attaches to the mastoid process
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− | *Actions:
| + | Origin: clavicle. |
− | **advances the limb and extends the shoulder joint when limb is in motion
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− | **draws head and neck ventrally when limb is fixed
| + | Insertion: median raphe of the neck and the occipital bone. The ventral part attaches to the mastoid process. |
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| + | Actions: advances the limb and extends the shoulder joint when the limb is in motion; draws the head and neck ventrally when the limb is fixed. |
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| '''''Omotransversarius''''': Accessory n. | | '''''Omotransversarius''''': Accessory n. |
− | *Origin: transverse processes of the atlas
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− | *Insertion: acromion and distal spine of the scapula
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− | *Action: advancing the limb
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− | *Innervation
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− | '''''Latissimus dorsi''''': local branch of brachial plexus | + | Origin: transverse processes of the atlas. |
− | *The '''broadest muscle of the back'''
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− | *Origin: thoracolumbar fascia
| + | Insertion: acromion and distal spine of the scapula. |
− | *Insertion: teres tuberosity of the humerus
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− | *Actions: antagonist to the brachiocephalic m.
| + | Action: advancing the limb. |
− | **cranial fibers strap scapula to the chest
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− | **retracts free limb and flexes shoulder joint
| + | '''''Latissimus dorsi''''': local branch of brachial plexus. |
− | **draws trunk forward over the fixed limb
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| + | The broadest muscle of the back. |
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| + | Origin: thoracolumbar fascia. |
| + | |
| + | Insertion: teres tuberosity of the humerus. |
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| + | Actions: antagonist to the brachiocephalic m. It retracts the free limb and flexes the shoulder joint. It also draws the trunk forward over the fixed limb. |
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| + | '''''Pectoral mm.''''': brachial plexus. |
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| + | Two superficial parts; cranial and caudal. |
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− | '''''Pectoral mm.''''': brachial plexus
| + | Origin: cranial sternum. |
− | *Two superficial parts, cranial and caudal
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− | **Origin: cranial sternum
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− | **Insertion:
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− | ***cranial ('''descending'''): crest of the humerus distal to the deltoid tuberosity
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− | ***caudal ('''transverse'''): covers elbow joint to insert on the medial fascia of the forearm
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− | **Action: adduct the forelimb, assist in protraction and retraction
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− | *One deep part ('''pectoralis profundus'''), with cranial and caudal parts
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− | **Origin: ventral sternum and adjacent cartilage
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− | **Insertions:
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− | ***cranial (subclavius): supraspinatus m.
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− | ***caudal (pectoralis ascendens): lesser tubercle of the humerus
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− | **Actions:
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− | ***slinging trunk between forelimbs
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− | ***may also retract free limbs
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− | ***draw trunk forward when limb is fixed
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− | '''''Serratis ventralis''''': branch of brachial plexus | + | Insertion: Cranial ('''descending'''): crest of the humerus distal to the deltoid tuberosity. Caudal ('''transverse'''): covers the elbow joint to insert on the medial fascia of the forearm. |
− | *Origin: C4 to 10th rib
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− | *Insertion: medial scapula and scapular cartilage
| + | Action: adduct the forelimb, assist in protraction and retraction. |
− | *Action: supporting the weight of the trunk
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− | **reinforced by strong fascia
| + | One deep part ('''pectoralis profundus'''), with cranial and caudal parts. |
− | **cervical portion can retract the limb
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− | **caudal portion can advance the limb
| + | Origin: ventral sternum and adjacent cartilage |
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| + | Insertions: cranial (subclavius): supraspinatus m. Caudal (pectoralis ascendens): lesser tubercle of the humerus. |
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| + | Actions: slinging trunk between forelimbs, may also retract free limbs. It draws the trunk forward when the limb is fixed. |
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| + | '''''Serratis ventralis''''': branch of brachial plexus. |
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| + | Origin: C4 to 10th rib. |
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| + | Insertion: medial scapula and scapular cartilage. |
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| + | Action: supporting the weight of the trunk. It is reinforced by strong fascia. The cervical portion can retract the limb and the caudal portion can advance the limb. |
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| '''''Rhomboids''''': brachial plexus | | '''''Rhomboids''''': brachial plexus |
− | *Origin: nuchal ligament, 4th - 6th thoracic spine
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− | *Insertion: dorsal border and adjacent scapula
| + | Origin: nuchal ligament, 4th - 6th thoracic spine. |
− | *Action: retracting the limb, may also raise limb
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| + | Insertion: dorsal border and adjacent scapula. |
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| + | Action: retracting the limb, may also raise limb. |
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| ===[[Forelimb - Anatomy & Physiology#Intrinsic Musculature|Intrinsic Musculature]]=== | | ===[[Forelimb - Anatomy & Physiology#Intrinsic Musculature|Intrinsic Musculature]]=== |
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| ====Muscles of the Shoulder==== | | ====Muscles of the Shoulder==== |
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| These muscles are grouped: | | These muscles are grouped: |
− | *Lateral:'''Supraspinatus ''' and '''Infraspinatus''', Suprascapular n. of the brachial plexus
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− | **Origin: the fossae of the scapula
| + | '''Lateral''' |
− | **Insertion: both tubercles of the humerus
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− | **Action: brace the shoulder
| + | '''''Supraspinatus''''' and '''''Infraspinatus''''', Suprascapular n. of the brachial plexus. |
− | **Clinical significance: bursa between the tendon of the infraspinatus and lateral tubercle of the humerus can be the site of inflammation
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− | *Medial:
| + | Origin: the fossae of the scapula. |
− | **'''Supscapularis''': Subscapular n. from the brachial plexus
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− | ***Origin: Deep surface of the scapula
| + | Insertion: both tubercles of the humerus. |
− | ***Insertion: medial tubercle of the humerus
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− | ***Action: braces medial shoulder joint, potential adductor
| + | Action: brace the shoulder. |
− | **'''Coracobrachialis''': Musculocutaneous n. of the brachial plexus
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− | ***Origin: medial supraglenoid tubercle
| + | Clinical significance: the bursa between the tendon of the infraspinatus and lateral tubercle of the humerus, can be the site of inflammation. |
− | ***Insertion: proximal shaft of the humerus
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− | ***Action: fixator
| + | '''Medial''' |
− | *Caudal (Flexors): Axillary n. of the brachial plexus
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− | **'''Deltoids'''
| + | '''''Supscapularis''''': Subscapular n. from the brachial plexus. |
− | ***Origin: acromion, the length of the scapular spine
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− | ***Insertion: deltoid tuberosity on the humerus, fascia of the lateral arm
| + | Origin: Deep surface of the scapula. |
− | ***Action: Flexor of Shoulder, Abductor and outward rotator of the arm
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− | **'''Teres Major'''
| + | Insertion: medial tubercle of the humerus. |
− | ***Origin: dorsal part of the caudal scapula
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− | ***Insertion: teres tuberosity midway down humerus
| + | Action: braces medial shoulder joint, potential adductor. |
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| + | '''''Coracobrachialis''''': Musculocutaneous n. of the brachial plexus. |
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| + | Origin: medial supraglenoid tubercle. |
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| + | Insertion: proximal shaft of the humerus. |
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| + | Action: fixator. |
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| + | '''Caudal (Flexors)''' |
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| + | '''''Deltoids''''': Axillary n. of the brachial plexus. |
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| + | Origin: acromion, the length of the scapular spine. |
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| + | Insertion: deltoid tuberosity on the humerus, fascia of the lateral arm. |
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| + | Action: Flexor of Shoulder, Abductor and outward rotator of the arm. |
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| + | '''''Teres Major''''': Axillary n. of the brachial plexus. |
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| + | Origin: dorsal part of the caudal scapula. |
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| + | Insertion: teres tuberosity midway down humerus. |
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| ====[[Forelimb - Anatomy & Physiology#Muscles of the Elbow|Muscles of the Elbow]]==== | | ====[[Forelimb - Anatomy & Physiology#Muscles of the Elbow|Muscles of the Elbow]]==== |
− | ''Extensors'': Radial n. from the brachial plexus
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− | *'''Triceps brachii''': Has four heads in the dog
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− | **Long head: caudal margin of the scapula
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− | **Lateral, medial, and accessory heads: shaft of the humerus
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− | **Insertion: olecranon, protected by tricipital bursa against the bone and subcutaneous bursa against the skin
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− | *'''Tensor fasciae antebrachii'''
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− | **Origin: tendon and lateral surface of the latissimus dorsi
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| + | 1. '''Extensors''' |
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| + | '''''Triceps brachii''''': Radial n. from the brachial plexus. |
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| + | Has four heads in the dog. |
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| + | Long head: From the caudal margin of the scapula. |
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| + | Lateral, medial, and accessory heads: From the shaft of the humerus. |
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| + | Insertion: olecranon, protected by tricipital bursa against the bone, and subcutaneous bursa against the skin. |
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| + | '''''Tensor fasciae antebrachii''''': Radial n. from the brachial plexus. |
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| + | Origin: tendon and lateral surface of the latissimus dorsi. |
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| + | 2. '''Flexors''' |
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| + | '''''Biceps brachii''''': Musculocutaneous n. from the brachial plexus. |
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| + | Origin: supraglenoid tubercle of the scapula. |
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| + | Insertion: medial tuberosity of proximal radius and adjacent ulna. |
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| + | Runs through the intertubercular groove of the humerus. |
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| + | '''''Brachialis''''': Musculocutaneous n. from the brachial plexus. |
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| + | Origin: proximocaudal humerus. |
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− | ''Flexors'': Musculocutaneous n. from the brachial plexus
| + | Insertion: spirals to insert just proximal to biceps. |
− | *'''Biceps brachii'''
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− | **Origin: supraglenoid tubercle of the scapula
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− | **Insertion: medial tuberosity of proximal radius and adjacent ulna
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− | **Runs through the intertubercular groove of the humerus
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− | *'''Brachialis'''
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− | **Origin: proximocaudal humerus
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− | **Insertion: spirals to insert just proximal to biceps
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| ====[[Forelimb - Anatomy & Physiology#Muscles of Supination and Pronation|Muscles of Supination and Pronation]]==== | | ====[[Forelimb - Anatomy & Physiology#Muscles of Supination and Pronation|Muscles of Supination and Pronation]]==== |
− | ''Supinators'': Radial n. from the brachial plexus
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− | *'''Brachioradialis'''
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− | **Origin: lateral epicondyle of the humerus
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− | **Insertion: distal part of medial radius
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− | **Often much reduced and sometimes absent
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− | *'''Supinator'''
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− | **Deep to extensor muscles, passing from lateral humeral epicondyles to upper medial radius
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− | ''Pronators'': Median n. from the brachial plexus | + | 1. '''Supinators''' |
− | *'''Pronator teres'''
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− | **Origin: medial epicondyle of the humerus
| + | '''''Brachioradialis''''': Radial n. from the brachial plexus. |
− | **Insertion: dorsal surface and medial border of radius
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− | *'''Pronator quadratus'''
| + | Origin: lateral epicondyle of the humerus. |
− | **Origin: palmar surface of radius and interosseous ligament
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− | **Insertion: interosseous border of the ulna
| + | Insertion: distal part of the medial radius. |
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| + | Often much reduced, and sometimes absent. |
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| + | '''''Supinator''''': Radial n. from the brachial plexus. |
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| + | Deep to the extensor muscles, passing from the lateral humeral epicondyles to the upper medial radius. |
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| + | 2. '''Pronators''' |
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| + | '''''Pronator teres''''': Median n. from the brachial plexus. |
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| + | Origin: medial epicondyle of the humerus. |
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| + | Insertion: dorsal surface and medial border of radius. |
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| + | '''''Pronator quadratus''''': Median n. from the brachial plexus. |
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| + | Origin: palmar surface of radius and interosseous ligament. |
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| + | Insertion: interosseous border of the ulna. |
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| ====[[Forelimb - Anatomy & Physiology#Muscles of the Carpal and Digital Joints|Muscles of the Carpal and Digital Joints]]==== | | ====[[Forelimb - Anatomy & Physiology#Muscles of the Carpal and Digital Joints|Muscles of the Carpal and Digital Joints]]==== |
− | ''Extensors'': Radial n. from the brachial plexus
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− | *Craniolateral position on the forearm
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− | *Almost all originate from the lateral epicondyle of the humerus
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− | *'''Extensor carpi radialis''': most medial, inserts on middle metacarpal bone
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− | *'''Ulnaris lateralis''': most lateral, inserts on accessory carpal bone and 5th metacarpal
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− | *'''Extensor carpi obliquus''': aka '''abductor pollicis longus'''
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− | **Origin: cranial radius
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− | **Insertion: 1st metacarpal
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− | *Last two may also serve in medial deviation of the paw
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− | *'''Common Digital Extensor'''
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− | **Insertion: extensor process of the distal phalanx of each digit
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− | **Sends a medial branch to dew caw
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− | *'''Lateral Digital Extensor'''
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− | **Insertion: dorsal proximal phalanges of 3rd to 5th digit
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− | ''Flexors'': Median or Ulnar n. of the brachial plexus | + | 1.'''Extensors''' |
− | *Caudal position on the forearm
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− | *Originate from the caudal medial epicondyle of the humerus
| + | Craniolateral position on the forearm. They almost all originate from the lateral epicondyle of the humerus and are all innervated by the radial n. from the brachial plexus. |
− | *'''Flexor carpi radialis''': most medial, inserts on upper 2nd/3rd metacarpal bone
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− | *'''Flexor carpi ulnaris''': most lateral, inserts on the accessory carpal bone
| + | '''''Extensor carpi radialis''''' |
− | *'''Superficial Digital Flexor'''
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− | **It divides into four branches which insert on the middle phalanges of all digits
| + | The most medial, inserts on middle metacarpal bone. |
− | *'''Deep Digital Flexor'''
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− | **Passes through carpal canal before branching and continues to palmar distal phalanges
| + | '''''Ulnaris lateralis''''' |
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| + | The most lateral, inserts on accessory carpal bone and 5th metacarpal. |
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| + | '''''Extensor carpi obliquus''''' (aka '''''abductor pollicis longus''''') |
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| + | Origin: cranial radius. |
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| + | Insertion: 1st metacarpal. |
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| + | Last two may also serve in medial deviation of the paw. |
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| + | '''''Common Digital Extensor''''' |
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| + | Insertion: extensor process of the distal phalanx of each digit. |
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| + | Sends a medial branch to the dew caw. |
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| + | '''''Lateral Digital Extensor''''' |
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| + | Inserts on the dorsal proximal phalanges of the 3rd to 5th digit. |
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| + | 2. '''Flexors''' |
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| + | Caudal position on the forearm. Originate from the caudal medial epicondyle of the humerus and all innervated by the median or ulnar n. of the brachial plexus |
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| + | '''''Flexor carpi radialis''''' |
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| + | The most medial, inserts on the upper 2nd/3rd metacarpal bone. |
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| + | '''''Flexor carpi ulnaris''''' |
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| + | The most lateral, inserts on the accessory carpal bone. |
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| + | '''''Superficial Digital Flexor''''' |
| + | |
| + | It divides into four branches, which insert on the middle phalanges of all digits. |
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| + | '''''Deep Digital Flexor''''' |
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| + | Passes through the carpal canal before branching, and continues to the palmar distal phalanges. |
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| + | '''''Interosseus muscles''''' |
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− | ''Interosseus muscles''
| + | Support the metacarpophalnageal joints. They arise from the palmar proximal metacarpal bones, and insert on the sesamoid bones within the joints. They are continued by ligaments to the phalanges. |
− | *Support metacarpophalnageal joints
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− | *Arise from palmar proximal metacarpal bones and insert on sesamoid bones within the joints, continued by ligaments to phalanges
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| ==Vasculature of the Forelimb== | | ==Vasculature of the Forelimb== |